Individual
JOHN THOMAS SLADKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 273-8920
(352) 392-9802
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-8920
(352) 392-9802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
041219
GA
208000000X
Pediatrics Physician
ME123731
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME123731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000686694C
—
GA
05
—
014945300
—
FL
Enumeration date
06/26/2006
Last updated
03/22/2021
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